Provider Demographics
NPI:1447695515
Name:EXCEPTIONAL PARTNERS, INC.
Entity type:Organization
Organization Name:EXCEPTIONAL PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:850-433-6860
Mailing Address - Street 1:19 PALAFOX PL
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-5688
Mailing Address - Country:US
Mailing Address - Phone:850-433-6860
Mailing Address - Fax:850-433-4099
Practice Address - Street 1:19 PALAFOX PL
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5688
Practice Address - Country:US
Practice Address - Phone:850-433-6860
Practice Address - Fax:850-433-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL671066396Medicaid
FL671088368Medicaid